Kansas City Metropolitan Physician Association

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

R3J97 Issued in MO

Legal business name

KANSAS CITY METROPOLITAN PHYSICIAN ASSOCIATION

Practice address

5501 NW 62ND Ter
Suite 100
Kansas City, MO 64151-2411

Phone

(816) 842-4440

Fax

(816) 842-2301

NPI assigned

Aug 15, 2012

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Nathan D Granger, MD

Title

President

Phone

(816) 842-4440

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1344988800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1344988800000",
    "number": "1669720173",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5501 NW 62ND TER",
            "address_2": "SUITE 100",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641512411",
            "telephone_number": "816-842-4440",
            "fax_number": "816-842-2301"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5501 NW 62ND TER",
            "address_2": "SUITE 100",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641512411",
            "telephone_number": "816-842-4440",
            "fax_number": "816-842-2301"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KANSAS CITY METROPOLITAN PHYSICIAN ASSOCIATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-08-15",
        "last_updated": "2012-08-15",
        "status": "A",
        "authorized_official_last_name": "GRANGER",
        "authorized_official_first_name": "NATHAN",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "816-842-4440",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "MO",
            "license": "R3J97",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kansas City Hospice, Inc
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• Kansas City Kidney Consultants, PA
• Kansas City Lifecoaches
• Kansas City Metropolitan Ear Nose & Throat PA
• Kansas City Neurosurgery Group, LLC
• Kansas City OB-GYN Physicians,P.C.
• Kansas City Occupational Healthcare
• Kansas City Optical, LLC
• Kansas City Oral Surgery & Implant Center

• All providers in Kansas City, MO
• Family Medicine Physician in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.